OPEN HEALTH PLUS - PRIVATE MEDICAL INSURERS

Open Health Feature Summary

Open Health is the insurance underwriting and administration for Healthcare insurers, Plan providers, Intermediaries and Third Party Administrators.
Open Health supports the full lifecycle of the insurance business process from new business acquisition; risk monitoring and administration; accounting; claims management; reinsurance; management information and renewal processing, enabling our customers to manage all aspect of their insurance and reinsurance activities.
Key Features :

• Product/Plan creation, definition and real-time maintenance
• Multi-currency premium rating
• Policy administration
• Quotations and automated policy creation
• Agent, broker, provider administration
• Premium, claim and commission accounting
• Claim eligibility and payment adjudication
• Full integration with ICD 10
• Multi-level reporting and general enquiry facility
• Automated event management with full audit trail
• Integrated diary and calendar
• Automated production of policy documentation, billing and contact correspondence
• Deployable via the web
• Screen sections, field defaults and mandatory entry requirements may be configured by the administrator to reflect business security around product, scheme or policy type and the responsibilities of the administration teams